Provider Demographics
NPI:1962414821
Name:HESS FAMILY DENTISTRY, P.A.
Entity type:Organization
Organization Name:HESS FAMILY DENTISTRY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:HESS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:850-476-5540
Mailing Address - Street 1:6900-B NORTH NINTH AVENUE
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504
Mailing Address - Country:US
Mailing Address - Phone:850-476-5540
Mailing Address - Fax:850-473-0505
Practice Address - Street 1:6900-B NORTH NINTH AVENUE
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504
Practice Address - Country:US
Practice Address - Phone:850-476-5540
Practice Address - Fax:850-473-0505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty